26D2311865 CLIA NUMBER - ELEMENTAL PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 26D2311865
  • Facility Name: ELEMENTAL PEDIATRICS LLC
  • Facility Address: 116 N MAIN ST
    PLATTSBURG, MO
    ZIP 64477
  • Facility Phone: (816) 704-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. GRIMES
  • NPI Number: 1275366650
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2311865
LAB Type Physician Office
Facility Name ELEMENTAL PEDIATRICS LLC
Street 116 N MAIN ST
City PLATTSBURG
State MO
ZIP 64477
Phone 8167045800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director ROBERT A. GRIMES

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This page was last updated on: 5/18/2026